Stephenson Rob
Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322, USA.
Am J Public Health. 2009 Jan;99(1):102-9. doi: 10.2105/AJPH.2007.126904. Epub 2008 Nov 13.
I examined the role of community-level factors in the reporting of risky sexual behaviors among young people aged 15 to 24 years in 3 African countries with varying HIV prevalence rates.
I analyzed demographic and health survey data from Burkina Faso, Ghana, and Zambia during the period 2001 through 2003 to identify individual, household, and community factors associated with reports of risky sexual behaviors.
The mechanisms through which the community environment shaped sexual behaviors varied among young men and young women. Community demographic profiles were not associated with reports of risky sexual behavior among young women but were influential in shaping the behavior of young men. Prevailing economic conditions and the behaviors and attitudes of adults in the community were strong influences on young people's sexual behaviors.
These results provide strong support for a focus on community-level influences as an intervention point for behavioral change. Such interventions, however, should recognize specific cultural settings and the different pathways through which the community can shape the sexual behaviors of young men and women.
我研究了社区层面因素在3个艾滋病毒流行率各异的非洲国家中15至24岁年轻人危险性行为报告中的作用。
我分析了2001年至2003年期间布基纳法索、加纳和赞比亚的人口与健康调查数据，以确定与危险性行为报告相关的个人、家庭和社区因素。
社区环境影响性行为的机制在年轻男性和年轻女性中有所不同。社区人口概况与年轻女性的危险性行为报告无关，但对年轻男性的行为形成有影响。普遍的经济状况以及社区中成年人的行为和态度对年轻人的性行为有很大影响。
这些结果为将重点放在社区层面影响上作为行为改变的干预点提供了有力支持。然而，此类干预应认识到特定的文化背景以及社区塑造年轻男性和女性性行为的不同途径。
